It ‘a pain in the hand and fingers, with deterioration of their sensitivity, especially of the middle finger. Rather we should speak of neuropathy of the median nerve, which suffers from the choked and fell ill because of the carpal canal.
Early on, the Carpal Tunnel Syndrome (CTS) is manifested by tingling, numbness or swelling of the hand, which dominate the first three fingers and part of the quarter, especially in the morning or at night.
Only then will appear to radiate to the forearm and pain.
If the disease gets worse, the next loss of sensation in the fingers with loss of hand strength of “carpal tunnel” suffer most ‘often women with a ratio of 3:1 compared to men.
The most represented decade for both sexes is between 50 and 59 years, in over half of the cases with bilateral symptoms.
Certain jobs that involve repetitive movements of the hand and wrist (egg, sewing, typing), increase the incidence of the disease.
Care
1) Conservative treatment.
- Ultrasound, Iontophoresis, Laser can improve symptoms but do not act on the cause of the syndrome
- Non-steroidal anti-inflammatory drugs and steroids, only to kill the pain
- Infiltration: effective only on the symptoms
- Wrist splints (splints): effective but not well tolerated, usually used only at night and therefore does not affect the cause of the syndrome.
2) Surgery
This project involves cutting the transverse carpal ligament (roof of the carpal tunnel.) The intervention consists of a short incision on the wrist or the palm of the hand, under local anesthesia to expose the carpal ligament.
The opening of the connection “gives breath to the nerve, decompile to eliminate the pain and then pain.
The operation is short, lasting from 5 to 15 minutes; you are an outpatient or day hospital.
Following a bandage for a few days to allow healing of tissues
. Some use the endoscope, but offers no real advantage in the sense that there is still a scar.